Individual provider Active NPI

Jamie Ann Hall, LPC

  • Mental Health Counselor
  • Marietta, GA
National Provider Identifier
1083063929
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC005192 Issued in GA
Practice address
1640 Powers Ferry Rd SE
BLD: 5 Ste: 110
Marietta, GA 30067-5491
Phone
(770) 765-1912
Fax
(404) 699-5680
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC005192 GA Primary

Addresses

Primary practice location

1640 Powers Ferry Rd SE
BLD: 5 Ste: 110
Marietta, GA 30067-5491

Mailing address

1640 Powers Ferry Rd SE BLDG 5-110
Marietta, GA 30067-9474
Phone (888) 551-5168

Other names 1

  • Jamie Ann Darling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC005192GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit'S Edge Counseling & Personal Development Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1083063929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE BLDG 5-110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679474",
            "telephone_number": "888-551-5168",
            "fax_number": "888-595-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BLD: 5 STE: 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "770-765-1912",
            "fax_number": "404-699-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DARLING",
            "middle_name": "ANN",
            "credential": "M.ED., LPC, NCC, BCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.